SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC (NPI# 1750620159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750620159 |
| Entity Type | Organization |
| Organization Name | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC |
| Other Organization Name | SAINT ALPHONSUS REHABILITATION SERVICES |
| Practice Address |
4400 E Flamingo Ave Nampa ID 83687 |
| Mailing Address |
901 N Curtis Rd Ste 204 Boise ID 83706-1340 |
| Practice Telephone | 2082884670 |
| Practice Fax Number | 2082884678 |
| Mailing Telephone | 2083673315 |
| Mailing Fax Number | 2083672674 |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2018-05-24 |
| Authorized Official Name | ODETTE BOLANO (PRESIDENT) |
| Authorized Official Telephone | 2083672118 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Saint Alphonsus Rehabilitation Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760741334 | Saint Alphonsus Regional Medical Center Inc | Clinic/Center | 131 Constitution Way, Nampa, ID 83686 | 2012-05-16 |
| 1528287711 | Saint Alphonsus Regional Medical Center Inc | Social Worker | 1050 W State St, Boise, ID 83702 | 2007-04-25 |
| 1295954485 | Saint Alphonsus Regional Medical Center Inc | Clinical Neuropsychologist | 717 N Liberty St, Boise, ID 83704-9342 | 2007-04-25 |
| 1831318021 | Saint Alphonsus Regional Medical Center Inc | Respiratory Therapist, Certified | 2707 Garrity Blvd, #3, Nampa, ID 83687 | 2007-04-25 |
| 1437378627 | Saint Alphonsus Regional Medical Center Inc | Social Worker | 5959 N Discovery Way, Boise, ID 83713 | 2007-04-25 |
| 1013056316 | Saint Alphonsus Regional Medical Center Inc | Social Worker | 131 Allumbaugh St, Boise, ID 83704-9204 | 2007-02-05 |
| 1487111472 | Saint Alphonsus Regional Medical Center Inc | Durable Medical Equipment & Medical Supplies | 6165 W Emerald St, Boise, ID 83704-8613 | 2019-02-26 |
| 1235696212 | Saint Alphonsus Regional Medical Center Inc | Durable Medical Equipment & Medical Supplies | 1075 N Curtis Rd Ste 300, Boise, ID 83706-1348 | 2019-02-26 |
| 1184155426 | Saint Alphonsus Regional Medical Center Inc | Clinical Medical Laboratory | 1055 N Curtis Rd, Boise, ID 83706 | 2017-03-27 |
| 1508198813 | Saint Alphonsus Regional Medical Center Inc | Clinic/Center | 315 E Elm St Ste 100, Caldwell, ID 83605-4858 | 2010-02-11 |
| Street Address |
4400 E FLAMINGO AVE |
| City | NAMPA |
| State | ID |
| Zip Code | 83687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265421291 | Kathy A Dufur | Physical Therapist | 4400 E Flamingo Ave, Nampa, ID 83687-9203 | 2005-10-21 |
| 1902441272 | Krista Carico | Pharmacist | 4400 E Flamingo Ave, Nampa, ID 83687-9203 | 2019-11-11 |
| 1366952285 | Andrea Cortes Dobson | Surgery | 4400 E Flamingo Ave, Ste 200, Nampa, ID 83687 | 2017-10-05 |
| 1659880276 | Matthew Ries | Physician Assistant | 4400 E Flamingo Ave, Nampa, ID 83687-9203 | 2017-09-26 |
| 1174072243 | Michael Ryan Partin | Physician Assistant | 4400 E Flamingo Ave, Nampa, ID 83687 | 2016-09-29 |
| 1629454566 | Terence Michael Niland | Pharmacist | 4400 E Flamingo Ave, Nampa, ID 83687-9203 | 2015-08-03 |
| 1689065377 | Jill Hart | Nurse Practitioner | 4400 E Flamingo Ave, Nampa, ID 83687 | 2015-02-17 |
| 1275979692 | Katarzyna Kaczmarczyk | Internal Medicine | 4400 E Flamingo Ave, Ste 200, Nampa, ID 83687 | 2013-05-13 |
| 1972861375 | Treasure Valley Surgery Center Nampa Lp | Clinic/Center | 4400 E Flamingo Ave, Nampa, ID 83687-9203 | 2012-04-24 |
| 1194092890 | Camille Buchmiller Buchmiller | Physician Assistant | 4400 E Flamingo Ave, Ste 200, Nampa, ID 83687 | 2011-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307447 | Current Physical Therapy Nampa LLC | Physical Therapist | 16150 N High Desert Street, Nampa, ID 83687 | 2020-02-10 |
| 1356867683 | Nampa of Cascadia, LLC | Skilled Nursing Facility | 900 North Happy Valley Rd, Nampa, ID 83687 | 2017-08-18 |
| 1750828513 | Daniel & Max, LLC | Optometrist | 1600 Karcher Rd, Nampa, ID 83687 | 2017-01-31 |
| 1578965422 | Jorge Domingo Reyes | Counselor | 5700 E. Franklin Rd., Suite 220-i, Nampa, ID 83687 | 2014-09-23 |
| 1619302080 | David Lyle Farris | Dentist | 16548 North Franklin Blvd., Nampa, ID 83687 | 2013-09-04 |
| 1871934547 | Ian Zafar Qureshi | Internal Medicine | 4400 E Flamingo Ave Ste 130, Nampa, ID 83687 | 2013-07-10 |
| 1457696783 | Laurel Evans | Specialist/Technologist | 850 W. St. Luke's Dr., Suite 215, Nampa, ID 83687 | 2012-11-27 |
| 1750641197 | Andrea Patricia Fitzer | Nurse Practitioner | 4400 E. Flamingo Ave, Nampa, ID 83687 | 2012-05-18 |
| 1679846182 | Ivony Case Management | Case Management | 811 12th Street, Ste. 2, Nampa, ID 83687 | 2012-02-14 |
| 1699043679 | Saltzer Medical Group, P.a. | Durable Medical Equipment & Medical Supplies | 9850 W St Lukes Drive, Nampa, ID 83687 | 2011-12-06 |
| Find all providers in zip 83687 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245368539 | Idahodhwbh3 Nampa Cmh Psr | Clinic/Center | 823 Parkcentre Way, Nampa, ID 83651-1783 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043657828 | Bodybalance Pt Twin Falls LLC | Clinic/Center | 657 Blue Lakes Blvd N, Twin Falls, ID 83301-4036 | 2013-06-03 |
| 1669503066 | Idaho Dept of Health & Welfare R5 Cmh Psr Jer | Clinic/Center | 126 N Adams St, Jerome, ID 83338-2331 | 2007-03-08 |
| 1396876850 | Idaho Dept. of Health & Welfare | Clinic/Center | 803 Harrison St., Twin Falls, ID 83301-3925 | 2007-03-08 |
| 1720116551 | Idaho Dept of Health & Welfare Reg II Cmh Moscow | Clinic/Center | 1350 Troy Hwy, Moscow, ID 83543-3995 | 2007-03-01 |
| 1164550455 | Idaho Dept of Health & Welfare Reg 1 Cmh Psr Cda | Clinic/Center | 1250 Ironwood Dr Ste 100, Coeur D Alene, ID 83814-2628 | 2007-03-01 |
| 1023487105 | Journey Pediatric Therapy | Clinic/Center | 506 Alder St Fl 2, Sandpoint, ID 83864-1567 | 2015-09-18 |
| 1851787980 | Fit Technologies Pllc | Clinic/Center | 3544 E 17th St, Suite 201, Ammon, ID 83406-6911 | 2015-04-15 |
| 1053729434 | Celebration Speech Inc | Clinic/Center | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2014-07-29 |
| 1689082182 | Generations Occupational Therapy | Clinic/Center | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2014-07-28 |
| 1942616073 | St Luke's Elks Childrens Rehabilitation | Clinic/Center | 3525 E Louise Dr, Suite 255, Meridian, ID 83642-6302 | 2014-07-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.